Organization
ALDEN OF WATERFORD, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN AVELINO (ACCOUNTS RECEIVABLE MANAGER)
(773) 724-6376
Entity
Organization
Contact information
Practice address
2021 RANDI DR, AURORA, IL 60504-4758
(630) 851-7266
Mailing address
4200 W PETERSON AVE, CHICAGO, IL 60646-6074
(773) 724-6373
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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